909 Jefferson LaneK0 cr, CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH 0 N E: 454-8100 - BUILDING PERMIT Receipt ? 1 ??
To be used for 5F ?V'G1GAF, Est Value 48di000 Date 13 19 :, _
Site Address 909 J$FFEI.'.:';i??j !.K OFFICE USE ONLY
??
Lot Block 2 Sec/Sub.LLxI#1(,`7'ON 1?0J11'dr .::
On Site Sewege
Occupancy
F- i M"L
-
?iy MWCCSystem Zoning Pb Z-1
Parcel No. '+
r'
On Site Well (Actual) Canst -
a Name -?07- MILLER CQNST'ttUCT'ION Citywater X (Allowable)
z Address 18233 CEDAR AYP S PRV Required # of Stories '
0 Ciiyr 1'ARMi??MIM Phone •+,1-2('~1 BoosterPump Length
Depth 4,Ci 1
o Hrme $AW, S.F. Total
=
0 < Abdress Footprint S.F.
P City Phone APPROVALS FEES
~ cc
V W
W
Name En9r /Assess.
? Permit 5 1 ? . `?
43
t30
_?
Address
Planner
Surcharge .
:
ry
59
?
u Z
? ,
City Phone Council Plan Review ?
•
'
W
t ' Bldg. Off. ? SAG City j('?? .oo ?
I hereby aCknowled
ge ihat I have read this appliCation and state that the Variance SAC, MWCC ?SO.t}u 1
.
intormatio(I is correct and agree to comply with all applicable State ot WaterConn. 5!0•00
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67•M
Signature of Permittee Road Unit 32?•
A Buiiding Permit is issued to: JL'E tikLl.Bii COWTL GCT'6N Treatment P1 204. 00 ?
?
on the,express condition that a II work shal I be done in accordance with atl Parks ?
applicahle State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official__ TOTAL
I BLDC. PERMIT
, a I _ '" ."i?
?
' U1-?210 Bidg. Permit ?Ay 00
01-3422 Plan Check
101-3445 Surch./Adm.
01-3446 SAC/Adm.
• 01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. ? G`7`
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 5ewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL '117.?4 /-& 10 0
, - CK 9 ? CITY OF EAGAN '
383q Pilot KnoD Road, P.O. Box 21 •199, Esgan, MN 55121 1571 (Z '
PHON E: 454-8100 ,
PERMiT Receipt ? .. ?
Est. Value $86„!?30 Date C410$E8 13 ,19 lb ?
SiteAddress ~t?'? -??r: •".:?Vn Lh
Lot elock ? Sec/Sub.LEXIIiG'lti1N Y0siv`iP.
t t .
Parcel No.
a Name •1OE l'Ix=R CAlISTiiMI011
z Address 28113 CPJA.a ?!1VF !{
? City 'C.ARi?SYNCiUt; Phone 431-2?+J1
o I Name SAMZ
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System ? 2oning PD A- ?
On Site Well (Actual) Conat V-151 j
City Water x_ (Allowable) V-!i a
PRV Required it of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
5111.00
?
Engr./Assess. _ Permit
43•00
Planner Surcharge
259•00
Council Plan Review
Bldg. Off. _ SAC, City 1000
?
f
Variance _ SAC. MWCC
SSQ.{i(1
Water Conn. 550.00
Water Meter ? 7 • ?
Road Unit 34.g•'?`?
Treatment P7 2o4•`''' _
Parks
TOTAL
Name
Address
City Phone
I hereby acknowledge that I have read thls application and state that the
information is correct and agree to comply with all appliCable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee -.-
A Building Permil is issued to: _JUo "IJ, LiFR WhSTIti7CT1fJN
on t he express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuildingOffiCiel_.______-
.' Permit No. Psrmit Holder Date Talsphone *
Plumbing
H.V.A.C. ?%4 //g
Electric
Softener
Inspection Date Inap. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg. '
Rough Htg. L,p Y Pl
lsul.
Fireplace
Final Htg. ?
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
/
PERMIT #
• ' ' MECHANICAL PERMIT
- CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CQNTRACT PRICE: PHONE: 454-8100
Site Adss '
Lot Block 47 7
Sec/Sub BLDG. TYPE WORK DESC ?TION
/
? ? Res NeW v
4??1•'l
? 41\'.
j`?
p
.?..11
'
N ?
? Mult Add-on
? ame
Address . ?-- Comm. Repair
c .
City 4=? 1 Phone r`J Other
EES
c Name RES. HVAC 0-100 M BTU . $2400
ADDITIONAL 50 M BTU
00
6
Addre -
.
p City ?" }?• Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERM(n - 1
50 EA
-
.
.
TYPE OF WORK ,-.. COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ?'?• ? M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
? ppj PERMIT PRICE GOES
Gas Piping Outlets # BEY?D $1 o
Other
FEE "??'I j/ :
!
S/C: ? C SIGNATURE OF PERMITTEE '
?
TOTAL: ?• ^
•? ? , ,,;a;
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
Site Addreps
Lot i Block
?
- Name
yo
c Addre?s I
y
c •?'r?J;J i?
CitY ..=-?
3
0 Name -?
Addesrs
c;H
Phone
FEES
M/IND FEE - 1% OF CONTRACT FEE
BLDGS - COMM RATE APPLIES
NHOUSE & CONDO - RES. RATE APPLIES
u1UM - RESIDENTIAL FEE - $12.U0
u1UM - COMM/IND FEE - $20.00
'E SURCHARGE PER PERMIT - .50
$.50 S/C IF PERMIT PRICE GOES
OF
, ? ,..
PERMIT #
,??•!? . '?
RECEIPT #
DATE: . '? / 7".
BLDG. TYPE WORK DESCRIPTION
Res. New - Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO.' FIXTURES TOTA?.
,? Water Closet - $3.00 $
Bath Tubs - $3.00
, --b4-Lavatory - $3.00 `
? ___afShower - $3.00
. Ki?chen Sink - $3.00 }
Urinal i Bidet - $3.00
.-L.,F_Laundry Tray - $3.00 t
?Floor Drains - $1.50
Water Heater - $1.50
? Whirlpool - $3.00 -
%Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - S10.00
- Private Disp. - $10.00
Rough Openings - $1.50
FOR: CITY OF EAGAN
FEE:
_ f .,--
STATE S/C:
?
GRAND TOTAL•
. CiTY OF EAGAN Permit No: 10433
3830 Pflot Knob Road Meter No:
P.O. Box 21199 Reader No:
Eagan, MN 55121
?.--__- !r-.c."4 ? 1 ?r •inn
Sit@
Date:
Size:
Date:
Gonn. Chg: 551. 000d Zoning: P1
Acct Dep: `-' •00pd No. of Units: ?
Permit Fea 10. 00pd
Surcharge: • 50pd 1 agree to comply wlth the City ol Eagan
Tr. Plant ? (7' • o`3ro Ordlnances.
Meter. `?° - ;)OnA
Misc.: Br ?
WATER SERYICE PERIIAIT J
CfTY OF EAGAN Permit No: ! 1173
3830 Pilot Knob Road B/ P No: '? I4?
P.7.aBox 21199 -.
Eagan, MN 55121
Date:
Date:
IO--i3-BB
Owner. Joe Miiler Cr)nst .
10'rJeffersart I z:i-- L9 r?
Site Address:
Plumber. Plnnputh PJ_urab ir. ;
" 50.0od "l
MWCC; ?' Zoning•
Ciry Chg: No. of Units:
Acct Dep: I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
SEWER SERVICE PERIIAIT
CITY OF EAGAN Permit No- 10033 Date: 1
3830 Oilot Knob Road Meter No: Y° 7 qQv- ?- Size: S
P.O. Boz 21199 Reader No: d6-,?? ?A ?/ -2? Date:
Eagan, MN 55121
Site Address:?t?? d?f ?8rs? yanP T.Q R? Texi,-r Inn Po i
Plumber. P 1;,;:1,
Conn. Chg: `? S ?. _,i ??r•.' Zoning: r,
Acct Dep: 7 5 n??ri No. of Units: ?-
Permit Fee: V! nr?.,i
Surcharge: I agree to comply with the City ot Eagan
Tr. Plant ' ? !! = a Ordinances.
Meter.
.
, ,
Misc.: ?i
g
y_
WATER SERVICE PERMIT
IO-25-68
REDUEST FOR ELECTRICAL INSPECTION
0- S. insVUChons iw completing ihis form on back of yelbw mpy.
?`?-_4 3 3 `X" Below Work Covered by This Request
,. ? 3 a°'?
e Atltl Rep. TypeofBwitlmg AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Oryer Other (Specify)
Comm./Industnal Fumace
Farm .( Au CondiGoner
01her (apqci}y) Contractor's Femarks
Campute Inspection Fee Selow:
# Other Fee # ServiceEntranceSize Fee # Cimmts/Feeders Fee
Swimming Pool ? D fo 200 Amps { 0 to 100 Amps
Transformers Above200,_Amps Abovet00-Amps
Signs Inspectors U. Onty; TOTAL
Irngation Booms S
Special Inspectipn
Alarm/Commurncation
O[her Fee ?
I, the Eledncal Inspector, hereby Rough-in Date ?Ib
certify that the above mspection has
been made.
?
OFFICE USE ONLY
This requesl voitl 18 months irom
NO CO PER S& W CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 15710
BlffDING PERMIT PHONE:454•8700 Receipt # 0 0 l Qd1/05?
To be used for SF DWG/GAR Est. Value $$6, 000 pate OCTOBER 13 .19 88
Site Address 909 JEFFERSON LN OFFICE USE ONLY
Lot 9' Block2
Sec/Sub.LEXINGTON POINTE OnSiteSewage - Occupancy R-3 M-1
_.
2NI) MwCC System X Zoning PD R-1
Parcel No.
V
N
On Site Weli _ (ACroaq Const -
a Name .IOE MILLER CONSTRUCTION Ciry Water 7 (Anowaele) V-N
= Address 18133 CEDAR AVE S PRV Reqwred _ # of Stories
o City FARMINGTON phone 431-2001 BoosterPump _ Length _46!
Depth 461
?
0 Name SAME S.F.Total
a a Address Footorint S.F.
u
?
City Phone
qPPROVALS
FEES
t-w Engr./Assess Permil $18.00
Name
43
Planner Surcharge .00
i= AddreSS 2
9
'Z Council PlanReview 5
.00
aW City Phone 81dg Off. SAC,City 100.00
I hereby acknowledge that I have read ihis apphcation and state that Ihe _
Vanance SAC, MWCC 550.00
inlormation is correct and agree to compty wit all a hcable State of Water Conn. 550.00
Minnesota StaNtes and Ci ,af Eagan Ordin s. 67
00
Water Meter .
Signature of Permittee Road Unit ?22._Qfl
A Buimmg Permit is issued to:7
ILLERGONSTRIILTIQN Treatment P1 204.0
0
ontheezpressconditionthatallbetlo neinaccordancewithall
rkshall
Parks
apphcable State of Minnesota Statutes an?
ity of Eagan Ordmances
d
C 2
616
00
.y
?.
?
Bufidmg Official
??C TOTAL ,
.
/r/ i /?S',Y' $?90a
E 70733/
Request .?
p?/
2 Z Fi o? ugh-in Inspe an
Requrtea7
? Ready Now Iii6Jill Nobry Inspectar
Wh
R
d
'
Q
p D s ? No en
ea
y
I[A licensed contractor ? owner hereby request inspection of above electricai work at:
Job Addreas (Slreet, Box or Routa Na)
ane
l
R09 Se0
- Ciq
?
.
sI
0 Q Qn
Section No. Township Name or No. Range No Counry
ry
Occupenl(PRINn
aoc Plrone No.
Pow¢rSuppller
Rdv
?? Atldre53 `
7WM
-.. .n
Electrical Contractor (Com y Name)
? ?/c
l
Z; CoMraaoYS License No.
wc/G
c
_
4L
aihrg Atldrees (COnirac/ro?r or Owner Making InsWllenon) R????,???.V ?7?V• 5?33 ?
Iy OSS ?e ?.LentA. ? ? ?`r'^"?` '
ANhoriz Signelure (CoMract r aking Instellation)
? Phane Number ` Q
? ?, ,-??a D?
MINNE STp7E BOApD OF ELE ITV THIS INSPECTION REQUEST WILL NOT
GriggaMidwey Bldg. - Noom S-173- BE ACCEPTED BY THE STATE BOARO
1827 UnNersity Ave., SL Peul, MN 56709 UNLESS PROPEF INSPECTION FEE IS
Phone (812) 842-OB00 ENCL0.SED
APFLiC%CAT10N 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
atV of tscsqsan
t NJTE.• PA)M7f OF FE6 AT TIME OF ,
t APPLICAI'iON DOFS NC/f' CON- x
' SfITiT1E APPRGVAL OF PIItMIT.
a
+
? INSPFYTION OP SEFII+di APID/OR WATIIt
INS1'ALIATIOIIS WII,L NdP BE "-CFrvir.cn ?
? [!Ni'iL PfRMIT Wf5 BEQd APPROVID. ?
•e??:??t?*+??trax?.??aa3????fx+reWrtt??W+
i> PROPERTY ADDRESS: a}'p cl y??,?.?soJ JaJ
T.Ff:AT. DESCRIPTION' ?'9
I.ot Blcc Sub ivision or Tax Parcel ID )
IF EXISTING SZRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Nmnt Year
PRESENT ZONING/PROPOSID USE:
Q COPMIII2CIAL/RETAIL/OFFICE I a.4-R-1 SINGLE FAMILY
Q INDL'STRIAL E_:l R-2 DUPLEX (3WWO Units)
Q INSTITUTIONAL/GOVEf2NMENT ? R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CODIDOMINIL'M ( Dnits )
2) NAME: :foc. H7r(Ity-
ADDxESS: JFJ133 GccDa#? pvc.
CITY, STATE, ZIP: i/6.c 140 ,`)
7
PHONE: 4131-.;Lov r
For City Use
3) .: • NAME: _E,?7 y41 ow+c4? pIC P1LUnbers License:
AcADDRESS: ?P
9?90 ?r4•-?a-??a.ryr ?'r ? I? tlred
,o'?
CITY, STATE, ZIP: ?ymdv<„o,7 Not recordec
7?-
PxoNE: MASTER LICENSE #Sta Initial
4) s',S .. e ?.
NAYE: S'sr.-•z-? As f? ?
ADDRESS: ^
CITY, STATE, ZIP:
PHONE:
S) i?1/? W' ' BI: u P ?. t x11?.?7ZlYa10?
C;4-<0I3NECTION TO CITY SEWER [?CONNECTION TO CITY WATER F-IOTI-IERR
6) riU ?. ?.G?:r?l ?.?/_?..l.c1 ? cJte?•n.J ? ' ? t />-.7 S'-?"?'
.**??***?*****?****??*,?****,*******.??****.*********?*???+??**,?******??*??*?****?*?****************,
?
* THE GOI]] COPY OF THE PF.RMIT WILL BE SENr DIRFX`1'LY TO PUELIC WORKS 7O FACILITATE MEPII2 PIQ{-OP.
? PLEFySE ALI,OW 7YA WORKING DAYS FOR PROCFSSING. SOMEONE FROM TfIE CITY WILL CONPACf YOU IF TFIERE
* ARE ANY PROSLENLS.
?**?,e+*?,ra*,?r****,r*?**,t****,t*x*x?*+t**,t*****??*?*?*****,t****,r*?***?**tx*x*?x*****+; Wx***?+:*?t**?**t*,
FOR CITY USE ONLY
PERMIT ISSL'ED ,
00.3-3
Pd w/Bldg. Permit r^EES:
$ SEWER PERMIT (INCLGDE SORCHARGE)
$ WATER PERMIT (INCLUDE SL'RCHARGE)
$ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLliDE CORPORATION STOP)
$ $ SEWER TAP
$ S A-.v-p ACCOL'NT DEPOSIT - SEWER
$ ACCOL'NT DEPOSIT - WATER
$ 'Jr5 ?i 0-0) $ WAC
$ ?S-D •D Z7 $ sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BEN°FIT/TRtiNK WATER
$ ?G 7-' G? $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ I?7I ' O D $ U-rj TOTAL
ss-? ?i
RECEIPT ik RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
?
NO ROADWAY" MUST BE ISSL'ED BY THF, ENGINEERING
DIVISION
LIS
.
T AS A CONDITION.
SCBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: Z)??,e?
TITLE:
DATE : ?D?Z (G' /??
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
?j 657-681-4675
New Consduction HeaulremeMe
• 3 regislered site surveys showinp sq, fl. of bt, sq. tt. of house; antl II roofed areas
(20% me)imumbtcoveregeallawed)
• 2 copies of plan show4ig beam 8 whdow sizes; pouretl tound design, etc.)
. 1 set of Energy Calculatbns
. 3 copies ol Tree Preservatbn Plen tl lol platted after 7/1193
. Ren Jolst Detail Optbns selectbn sheet (bklgs witli 3 or less untts)
DATE roz-
?7
1?2 /S1 ZS
BemodaVHeoeh ReauiremeMa
• 2copiesofp1an
• lselolEnergyCelculationsforheatedaddftbns
• lsitasurveyforezterioraddMions&tlecks
. Indicate it hane served by septic system for addRbns
VALUATION 0 U
SITE ADDRESS /o+ ve Lj MULTI-FAMILY BLDG _Y -kN
TYPE OF WORK /e'e r OvP- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS / Y(-'? l'.t i
TELEPHONE#
PROPERTY OWNER
ATE M NZIP SS 3 /_j(
TELEPHONE #
(9S/-`/'oS- 0?7?
COMPLETE THIS SECTION FOR ••NEW,• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J su6mission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor:
Plumbing system includes:
Mechanical Conhacfor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
T (? ? 0 U
------°------------------------------------------------------°-------°------------ --------------------------
I hereby acknowledge ThaT I have read This application, state that the informati '-vircorrect-and-agreA comply
with all applicable State of Mlnnesota Statutes and Cliy of Eag r an . ??
Signature of Applic, ?
OFFICE USE ONLY
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
CELL PHONE # FAX #
?oz?z
L
SUBD.
? BL ?
Pei nfe. n
.
CITYU5EONLY l RECEIPT #: 50tI y 130, ,70
?
RECEIPT DATE: C7 r)
PERMIT#
2000 PLUtYIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT I¢NOS RD
EAGAN, M 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES '
EACH H
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet • minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System new/retumisned • requires MPC 1{e. 75.00 x = $
Septic S stem abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Undergroundsprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler rfexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under eonstruction 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Watertumaround 30.00 x $
State Surcharge 50 -> -> -> $ .50
Total -> -> -> --> $ C) 5?'i
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------- • •---------• ----------------• ---------------------------------------- ---------- --------- ---------------------- ------ -------------
1 hereby adcnowkdge Mat I have read this application, state that the iMOrtnation is cortect, and agree to comply with all applipble City of Eagan ordinances.
k is the applicanYs responsibiliry to notiTy the property owner that the Cily of Eagan assumes no Iiability for any damages caused by the City during ks
nortnal operetional and maintenance adivities to the facilities construded under this permft within City property/rightof-wayleasament.
SITEADDRESS: J CFF c--P5c(/ LANE
OWNER NAME: : L. U LlJ U/YI TELEPHONE #: SI • G5 - 08 28
(AREA CODE)
INSTALLER NAME: CED19A PAUMI? IM?r TELEPHONE #: 74?o3 •753 •
STREETADDRESS: ?f `?i V 1 K! lYG AL V)) dV, K/, (AREACODE)
cirv: CEDA/-? STATE: /'11 N. ZIP: SSGII
? SIGNATURE 0 PERMITTEE
d
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I'S ri
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATZONS
NOTEs ADDRESSES FOR CORNfiR LOTS - CONTRACTOR/HOMEOWNER M[TST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 'OCT O 71988
Do
To Be Used For: Valuation:?
Site Address n
Lot 6 Block ? OFFL
On site sewage
r ? MWCC system ?i
Pareel/Sub On site well
City water
Owner PRV required
_
Booster Pump _
Address
City/Zip Code
Phone
? Contractor /r
Address E33 &AAL zid
City/Zip Code ?w• ?c}(???
Phone `"/3
Arch./Engr.
Address
City/Zip Code
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Date: ?00
Occupancy jz,- M'
Zoning pp R-1
Actual Const V- h1
Allowable
# of stories
Length
Depth S.F. Total
Footprint S.F.
FEES
Permit / .OD
Sureharge 45,0
?
Plan Review z , o0
SAC, City 100 • ob
SAC, MWCC ,o
Water Conn x5Sp,?
Water Meter (0r) ,00
Road Unit a `bCo
Treatment P1 7,o4.cxa
Parks
Copies
TOTAL
Phone Ik
VAUvkA*, ca h?
G ARAC?E
?2 ?c 2Z = ?/B4 X Iy = 67 7&
13ASE ntiE N r
z`? X 22 = 5z8
12 X zy = 33?
I z?C z(, = 3, z.
11??X13-.t?2g8
Nousc
5!:=°v+7 : i i 1 c0
172x ?i : r'7
?
I 19 3 x y9 = s g 45'7
1?-xf o= I ?c 14 o .=. yt oo
.?----
5532?
.
N
?
One or Two Family
All
Uxlx Ur 8U1LllIt?tl UEPAEt''I•IGN'P .7???'?•J?_.
EX'PEI2IOR EI1VF?,OPF1 AUEHAQC ??Ulf COIdPllTAmION
('Po ba su6mittad rritli building permit applioation)
Dwelling Owner ottier 8fte #ddrese
raContracton_...?`,%'?,,1- Date
Plia ne
LIHEAL FEET OF ? , ?! , H •
EXPO5ED Y7ALL ft, above grade
1'OTAL EXPOSED WALL QitE;A Bq. FT.
OFAqUE WALL COPISTRUCTIOtis IIUII Value x Area
Detail
rete
renae IIUn 1 ? . ?a x
°U
° h'L 3Q.-FT. p ??7i?, I (U)(A)
x
nU
tro
m
?
I
?
8 gQ? FT? (?) (A)
attaclied
Un
-
-'x
Q.
FT ( ) ?A)
sheete
uua
n x
SQ. .
FT. - Z??crt?
? (U)(A)
pn x 8Q.
(U)(A)
WIIIUOWSt liU ll Vulue x Are&
tlalce & TYPe
x
sq.
FT.
? ZrD (u)(A
ti „
u?? -X
gQ.
FT. )
- (U)(n)
„
11
??uu?? x
sQ.
em.
- (U)(A)
x sq, Fm. _ (u)(n)
WOI18t "U" Value x Area
4lalce & Type
n u Usi
8.
R
FT.
G
1G7 = ?4??rv (U)
nU (A)
11 nuu FT,
??)(A)
n u x
nUu Sq FT. _
' - ?U)?A)
- x 8Q. FT.
TOTAI,9 ZZ OT SQ. r'T. ____?_??? >?j (U) IA)
AYERACiE liUli
oTni. (u> (n) vnLUES /0,
DIVIDED DY TOTAI;=1'/tI,L ?n?;?ZZG?•tz?UZ ?0 I
AVERAQE IfUi?? J -^ I
•11 ? r lesa for 1&2 family dwellinge
ROOF/CEILIIia t 1 '
TOTAL AnEAs ?
Uetail reterence ilUil
QL
x SR. FP. /? ? ?07(U)(A)
from ' itu 11 attaclied sliests, lipll Q (U)(A)
Uescribe opetiinge liul? X st?. FT, • _ (U)(A)
io roof, uun XSR• F`r. _ (U)(A)
X SQ. kvr. (U)(A)
TOTAL (U)(A) VAI,UES DIVIDCD BX ?b ?(o7'1?L?j Zj?
TOTAL ROOF/CEILINQ?flREA
AVEI3AqE "U!":025 for ventilated ro 0 if21
?
?_? •
WWT'
6 ? w-u.
a X ( ??14 --A-?
q ,.?`,, 1
Ir? ?
I ? `+` X l /?"I?-?' I
2 29?, 02-
i??
?I r? ? d7X I r?3 = I 3?'???
Z- ZvX ?cp= Aa X 1?
? - ?4-?A'o - z2 5 ?C 3= (??7 , ?'
3- z-yL,;p
z ???_____? .
?z ,z-45
agvc)? ??- E?
Rop??
,? Corl,? ? J 49? ZI =
=
31?, zi
`' ?S? ??Z ? ?-5?
?? ?
? 8flZ i 27
, -,-?a4 a? awox? wnlit Rimo nnd Cono. gloolc
RUOF/dEILINtl
1. ) Interior dir r•ilm
2.) 5181f UYP. Bd.
3•1 IneulaCion
4.1
5.) Exterior Air Film
tsTZLL)
. It VALU
0.61
.56
Aco
.61 `
i02? i'OTN, (R)e
. ?.
WALL ? vnc,u
6.) InEerior Air F11m 0.68
7,!
8.) ?° aYp. Bd.
Ineulation .?r5
da
1q
9. ) p,utt:7'-P-itG •
Z
?
10.)
Fiqeonite 51di1?g 5
7
6
11.) Extarior Air Film .?7 •
ifun 0 Torw (n), 73.0
lill't . x vu,u
12.) Interior Air irilm 0168
13.) Ineulation Iq,ov
14. ) 211 Fir Rim Joisb • 1.88
15.) 1'?uizr-?',Tc z,
16.)
ptssonite eidin6 , 67
.
170 Exterior Air Film 417
opu e I/R? .olD TOTdL (Fi)n 2?.n-
.f •
FOUtiDATIOtI ? I2 Y/lLU
180 Interior dir Fi.lm ' 0.68
19.) •
zo: ? P-,r1 y TR?p??b ??.co
21.) 12° (Jouoreta Bloalt 1.26
22.)
23.) ExEerior Air Film ,17
nun is 1/n¢ 070 TOTAL (fi)m
?-
-----
88- I 67
TRI-LAND C0. S,TE PLAN FOR:
SURVEYING
SERVICES JOSEPH MILLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION. LOT-9-,BLOCK-?-, i FXIN[;TON POIN'EF 2nd
ACCORDING TO THE RECORDED PLAT
THEREOF DAKQT/1 MINNESOTA
?
?. _ :.." -r i C:
N? ?? N4
979.84
980.5J ?G •
5 \4
? r
Z C44
9
?
C o 982 x43
N 983x29
N
23.55-(D _982.43
SCALE I"=30'
?8?.?'L.?"; - 1 7
`
-. I 34 96323 '
Cli
37.33?)
' ^` p a ?POSED.
HOUSE O
'`? NI a N ` . .
? II-6/A
0 (u .
6ARAGE - ? 12fi ry
984.5713,? W- 22, 1 n/
C0 L
w 984.13 983.87 ? '- O N ,
-0 0 z7.ss (D
5 L M ?A =
a ?
982.92
?= 25°39' 31"
? z.
l 7
?sR 6960. 78 2 O ??
saz„?a "F?O 982, 45
4-Z
,'AGAN ENG1iV1:"x1NCs DL].''
LEGEND
o DENOtES IRON MONUMENT
o DENOTES WOOD HUB SET
900.0 DENOTES EXISTING SPOT
ELEVATION
(soo.o) OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
PROPOSED SPLIT ENTRY NO W/O
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEV%1TION= 985.3
PROPOSED FIRST FLOOR ELEVATION = 985.8
PROPOSED BASEMENT FLOOR = 977.6
E LE VATI ON
NOTE? VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hersby cerfity that this survey,plan or
report was preparsd by me or under my
direct supervision and that I am a duly
Reqistered Land Survtyor under ths
Laws of the State of Minnesota.
: ?.L?^.c?lfY.^.. l?_. l??r? L. •-?.?--- `
•? - -
Bradley J. $ e'nson, Mn. Rsq. No. 15233
oare: /L'-L?- Y$
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170032
Date Issued:06/17/2021
Permit Category:ePermit
Site Address: 909 Jefferson Lane
Lot:9 Block: 2 Addition: Lexington Pointe 2nd
PID:10-45071-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Weizeng Qian
909 Jefferson Ln
Saint Paul MN 55123--260
(651) 263-6460
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature